TY - JOUR PY - 1991// TI - Antecedents and interventions for aggressive behavior of patients at a geropsychiatric state hospital JO - Hospital and community psychiatry A1 - Colenda, C. C. A1 - Hamer, Robert M. SP - 287 EP - 292 VL - 42 IS - 3 N2 - Aggressive geropsychiatric patients pose major problems for long-term care facilities. Two exploratory surveys at a geropsychiatric state hospital, separated by brief programs of inservice training on managing aggressive patients, examined several aspects of aggressive behavior and staff interventions. Major findings included a stable overall prevalence of aggressive behavior in both survey periods; a persistently higher prevalence of aggression and a higher rate of physical aggression among dementia patients than among other patients; and staff-patient exchanges as a major triggering event for aggression. In the survey period after the inservice training, staff interventions remained similar for nondementia patients; however, for dementia patients, interpersonal interventions were used less frequently, and p.r.n. medications, alone or in combination with seclusion or restraint, were used more often.

Language: en

LA - en SN - 0022-1597 UR - http://dx.doi.org/ ID - ref1 ER -